NPI age
20 years
Enumerated 2005-10-03
Across 397 active pharmacy providers in Idaho.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | 20019353 | MEDICARE PHARMACY PTAN |
| 01 | 0211370001 | MEDICARE DME PTAN |
| 01 | 19110281 | MEDICARE MASS IMMUNIZATION PTAN |
| 05 (ID) | 0024047 |
Multi-provider organization. 1 individual provider on file at this primary address.
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →